Disclosed is a patch for delivering a permeant through a biological membrane of a subject comprising: a) a matrix; b) at least one hydrophilic permeant disposed within the matrix, wherein at least a portion of the hydrophilic permeant can dissolve in biological moisture received from the subject; and c) at least one permeability enhancer disposed within the matrix, wherein the permeability enhancer is at least one pH control agent selected from the group consisting of: (I) pH control agents adapted to adjust at least a portion of contacted biological moisture to a pH level of from 2 to 6, and (II) pH control agents adapted to adjust at least a portion of contacted biological moisture to a basic non-physiological pH level.